围生期盆底肌锻炼持续性指导对锻炼依从性及分娩结局的影响  

Study on the Effect of Persistent Nursing Intervention of Pelvic Floor Muscle Training of the Perinatal Stage on the Compliance and the Delivery Outcome

作　　者：王新[1] 邓美莲[2] 李桂友 

机构地区：[1]广州医科大学护理学院,广东广州510182 [2]广州医科大学第三附属医院 [3]广州市荔湾区妇幼保健院

出　　处：《中国医学创新》2013年第23期51-53,共3页Medical Innovation of China

基　　金：2010年广州医学院青年基金项目(2010A03)

摘　　要：目的:观察持续性指导孕(产)妇进行盆底肌锻炼对围生期盆底肌锻炼依从性及分娩结局的影响。方法:将106例孕妇随机分为持续指导组51例和对照组55例,由一位专职健康教育的护士任教盆底肌锻炼课程,课后对持续指导组采用电话随访,了解持续指导组妇女进行盆底肌锻炼的情况,对照组未进行盆底肌锻炼的专人健康教育指导。结果:持续指导组孕期、产后整体的盆底肌锻炼频率优于对照组(Z=7.554,P<0.001;Z=8.090,P<0.001)。持续指导组第二产程时间短于对照组(t=2.101,P=0.040),而第一、第三产程时间两组比较差异无统计学意义(t=1.771,P=0.081;t=1.142,P=0.263)。两组剖宫产率比较差异无统计学意义(字2=3.446,P=0.076)。两组妇女的孕期母体增重、新生儿体重、会阴撕裂患病率、会阴侧切率比较差异均无统计学意义(P>0.05)。结论:持续性指导使孕产妇拥有良好的盆底肌锻炼行为,有助于缩短第二产程,但对分娩方式、会阴侧切、会阴撕裂的患病率均无影响。Objective： To evaluate the effect of nursing intervention of pelvic floor muscle training on the compliance and the delivery outcome. Method： 106 nullipara were divided into two groups randomized as intervention group and control group. All the nullipara were attend the pelvic floor training program, teaches by a midwife. A pelvic floor physical therapist measured the women＇ s pelvic muscle myodynamia, and teaches them the fight mode of pelvic muscle contraction before intervention. A registered nurse monitored the intervention group via telephone checkups twice a week. The control group didn＇t receive the individual directions. Result： The frequency of PFMT of the intervention group was better than the control group （ Z=7.554, P〈0.001 ; Z=8.090, P〈0.001 ） . There was difference in the second stage of labor between the two groups （t=2.101, P=0.040 ）, the other two labor stages had no difference （ t=1.771, P=0.081 ; t---1.142, P=0.263 ） . The rate of cesarean section had no difference between the two groups （ X2=3.446, P--0.076 ） .Two groups of women of the gestational weight gain, the neonatal weight, the rate of episiotomy and laceration of perineum differences had no statistical significance （ P〉0.05 ） . Conclusion： The persistent nursing intervention to the pregnant （ postpartum ） women make them to have a good pelvic floor muscle exercise behavior, help to shorten the second stage of labor, But for delivery mode, rate of episiotomy and laceration of perineum of the influence of no statistical significance.

关 键 词：围生期 持续性指导 盆底肌锻炼 依从性 分娩结局 

分 类 号：R714.7[医药卫生—妇产科学]